Organization Active NPI

Mntransportation Network LLC

  • Non-emergency Medical Transport (VAN)
  • Coon Rapids, MN
National Provider Identifier
1053761023
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MNTRANSPORTATION NETWORK LLC
Practice address
12464 Sycamore St NW
Coon Rapids, MN 55448-1441
Phone
(612) 598-9273
NPI assigned
Jun 21, 2016
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ahmed Mohammed Adem Jr.
Title
Owner
Phone
(612) 598-9273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

12464 Sycamore St NW
Coon Rapids, MN 55448-1441

Mailing address

12464 Sycamore St NW
Coon Rapids, MN 55448-1441
Phone (612) 598-9273

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1053761023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12464 SYCAMORE ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481441",
            "telephone_number": "612-598-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12464 SYCAMORE ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481441",
            "telephone_number": "612-598-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNTRANSPORTATION NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "ADEM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-598-9273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.